Field Medical Director - Cardiology

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July 2

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Evolent

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Healthcare Insurance • Healthcare • SaaS

Evolent is a healthcare company focused on improving care outcomes through its comprehensive management solutions across multiple medical specialties. They aim to enhance the patient care journey by offering coordinated services in areas like oncology, cardiology, musculoskeletal disorders, and primary care, while ensuring high-quality treatment pathways and cost management. Evolent believes every person deserves quality care, striving to align treatment guidelines and innovative approaches to meet patient needs effectively.

1001 - 5000 employees

⚕️ Healthcare Insurance

☁️ SaaS

📋 Description

• Serve as the specialty match reviewer in Cardiology cases • Provides clinical rationale for standard and expedited appeals • Discusses determinations (peer to peer phone calls) with requesting physicians • Utilizes medical/clinical review guidelines and parameters • Ensures documentation of all communications with medical office staff and/or MD provider is recorded • Participates in on-going training per inter-rater reliability process • May assist the Senior Medical Director in research activities/questions • May function as Medical Director for selecting health plans or regions

🎯 Requirements

• MD/DO/MBBS Degree • Current, unrestricted clinical license in medicine or required specialty • Active Board Certification in Cardiology, Vascular Surgery or Adult Congenital Heart Disease • Strong clinical, management, communication, and organizational skills • Energetic and curious with a passion for quality and value in health care • Minimum of five (5) years’ experience in the practice of Cardiology is preferred

🏖️ Benefits

• Comprehensive benefits (including health insurance benefits)